As a reminder, when billing Tufts Health Plan and Harvard Pilgrim Health Care members for services that are delivered through the Psychiatric Collaborative Model of Care, also referred to as Collaborative Care Model (CoCM), it’s important to use the following procedure codes:
- 99492: Initial psychiatric collaborative care management, in the first calendar month first 70 minutes
- 99493: Subsequent psychiatric collaborative care management, in a subsequent month first 60 minutes in a subsequent month.
- 99494: Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month
- G2214: Initial or subsequent psychiatric collaborative care management, in a month first 30 minutes in a month
Psychiatric Collaborative Model of Care is an integrated behavioral health service delivery method in which a primary care provider and a care manager provide structured care management to a patient, while working in collaboration with a psychiatric consultant who reviews the clinical status and care of the patient and makes recommendations. It is expected that this service will be billed by a Primary Care Provider.
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